Abstract:
INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine examinations, including POP quantification (POP-Q), PFMS measurement, DRA evaluation, and UI determination. Chi-squared tests and independent sample t test were used to compare the differences between women with DRA and without DRA. RESULTS:Women with DRA presented significantly lower prepregnancy body mass index (BMI), predelivery BMI, and postpartum BMI; greater gestational age; and higher birth weights than women without DRA(p < 0.05). Moreover, DRA incidence was significantly higher in those who underwent cesarean section (CS) than in those who underwent vaginal delivery (VD)(p = 0.045). Although the PFMS of the DRA group was weaker and the prevalence of UI and POP was slightly higher than those of the no DRA group, the results were not statistically significant. The PFMS of the CS group was stronger than that of the VD group. Urinary incontinence and prolapse incidence were higher in the VD group than in the CS group. Women who underwent CS had a shorter genital hiatus (Gh) and smaller Ba and Bp values than those in the VD group. Women without DRA had an increased chance of Bp ≥ -2 and Gh ≥ 3(p < 0.05). CONCLUSIONS:Women with DRA were not more likely to have weakened PFMS and increased UI or POP at 6-8 weeks postpartum.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Wang Q,Yu X,Chen G,Sun X,Wang Jdoi
10.1007/s00192-019-04005-9subject
Has Abstractpub_date
2020-02-01 00:00:00pages
277-283issue
2eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-04005-9journal_volume
31pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Pelvic organ prolapse (POP) commonly presents with a "vaginal lump or bulge" and/or a "dragging sensation." The first symptom correlates strongly with clinical and imaging data. However, a "dragging sensation" may be less specific. Hence, we investigated the predictive value of both symptoms...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3410-8
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS:Thirt...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-016-2948-1
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate hysterectomized and non-hysterectomized patients with prolapse and incontinence. Laparoscopic sacrohysteropexy (LSHP) and minimally invasive sacrocolpopexy (LMSCP) were done in combination with transobturator tape (TOT) and native tissue repair of the ant...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04519-7
更新日期:2020-09-08 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Understanding demographic and opioid utilization patterns of preoperative opioid users compared with opioid-naïve patients undergoing surgical treatment for pelvic organ prolapse (POP) better informs opioid prescribing. METHODS:A cohort of preoperative opioid users undergoing surgery for PO...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04215-1
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the effects of sacral neuromodulation (SNM) on pregnancy and the impact of delivery on SNM function. METHODS:A systematic search was conducted through January 2016. We selected studies including women who had SNM and a subsequent pregnancy. RESULTS:Out of 2,316, eight studies w...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3272-0
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To examine urinary retention (UR) after female urethral sling placement in patients with or without detrusor underactivity (DU) or Valsalva voiding whose urodynamics (UDS) accurately reproduced voiding symptoms to determine whether the reproduction of voiding symptoms on UDS in those with DU...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04623-8
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR). METHODS:This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior fail...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1013-8
更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh. METHODS:Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
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更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress inconti...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
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更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To exclude a neuromuscular denervation damage due to prosthetic mini-invasive surgery using transobturator tape (TOT) by pre and postoperative electromyography (EMG) of the striated urethral sphincter. METHODS:Seventeen women with SUI were enrolled by urogynecologic and urodynamic examinati...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1364-9
更新日期:2011-06-01 00:00:00
abstract::Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1320-0
更新日期:2011-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2685-x
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3365-9
更新日期:2018-02-01 00:00:00
abstract::Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-010-1282-2
更新日期:2010-12-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1533-x
更新日期:2012-02-01 00:00:00
abstract::We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to r...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2667-z
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim was to develop a nomogram based on clinical and surgical factors to predict the likelihood of voiding dysfunction after surgery for deep endometriosis. METHODS:This was a retrospective study of 789 patients (training set) who underwent surgery for deep endometriosis with colorectal ...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2020-07-11 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1180-7
更新日期:2010-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3169-3
更新日期:2017-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-012-1714-2
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Walking speed and carrying technique affect intra-abdominal pressure (IAP) in women. In this study, we tested the feasibility of monitoring IAP outside the laboratory environment and compared IAP while study participants were (1) carrying 13.6 kg (similar to a 3-month old in car seat) in six...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
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更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To compare the outcome of outside-in biological and synthetic transobturator tape (TOT) operation, including subjective and objective success rates, urodynamics, and quality of life. MATERIALS AND METHODS:One hundred patients suffering from clinical and/or urodynamic stress urinary incontinence (SUI) were ra...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-012-2008-4
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION:The natural history of pelvic organ prolapse (POP) is poorly understood. We investigated the prevalence and risk factors of postnatal POP in premenopausal primiparous women and the associated effect of mode of delivery. METHODS:We conducted a prospective cohort study in a tertiary teaching hospital attend...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2382-1
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:This study investigated perioperative and mid-term clinical outcomes after laparoscopic sacrocolpopexy (LSCP) with light titanium-coated polypropylene (TCP) mesh in a large group of patients affected by International Continence Society stage II-IV pelvic organ prolapse (POP). METHODS:This multicenter retr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04146-x
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Intravesical onabotulinumtoxinA (Botox®) is effective for idiopathic overactive bladder (OAB) symptoms. Our primary objective was to compare the efficacy of onabotulinumtoxinA for women with de novo OAB after midurethral sling (MUS) surgery and women with idiopathic OAB. METHODS:Women enrol...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2839-x
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to investigate the efficacy of the EndoFast Reliant™ system, which is a novel trocarless mesh technology for the treatment of pelvic organ prolapse (POP). METHODS:This was a retrospective cohort study including 31 female patients with POP who underwent vaginal repair. Total foll...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04072-y
更新日期:2020-08-01 00:00:00
abstract::We report a case of enterococcus lumbar osteomyelitis that developed after post-operative pyelonephritis. A 78-year-old G2P2 with Stage III uterovaginal prolapse and genuine stress urinary incontinence who underwent laparoscopic-assisted vaginal hysterectomy, high uterosacral ligament suspension, tension-free vaginal ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1836-6
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-014-2604-6
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:The systematic review and meta-analysis were performed to summarize the available evidence and assess the efficacy of telemedicine for urinary incontinence in women. METHODS:PUBMED, EMBASE, Web of Science, The Cochrane Library, CBM, CNKI, WanFang, and VIP databases were electronically searched to identify e...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04340-2
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:Nocturia is the number of times urine is passed during main sleep. This definition tells us that it is a need to void; it does not tell us what triggers it. The aim of this study is to report bladder sensations that wake up women with nocturia (N). Descriptions of sensations in relation to various overactive...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04257-w
更新日期:2020-05-01 00:00:00